Active NPI
Linda L Pelland, A.R.N.P.
- Family Nurse Practitioner
- Seattle, WA
National Provider Identifier
1326094186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30005870
- Practice address
- 4550 Fauntleroy Way SW
Seattle, WA 98126-3471 - Phone
- (425) 888-5511
- Fax
- (360) 825-6536
- NPI assigned
- May 25, 2006
- Last updated
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30005870 | WA | Primary |
| Family Medicine Physician | 207Q00000X | AP30005870 | WA |
Addresses
Primary practice location
4550 Fauntleroy Way SW
Seattle, WA 98126-3471
Mailing address
4550 Fauntleroy Way SW
Seattle, WA 98126-3471
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007771 | Medicaid | WA | |
| 9637026 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lpelland15967@fhsce.catholichealth.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30005870 | WA | MD | Family Medicine Physician |
Interoperability endpoints
- lpelland15967@fhsce.catholichealth.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1326094186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 FAUNTLEROY WAY SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981263471",
"fax_number": "360-825-6536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 FAUNTLEROY WAY SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981263471",
"telephone_number": "425-888-5511",
"fax_number": "360-825-6536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLAND",
"first_name": "LINDA",
"middle_name": "L",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30005870",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "AP30005870",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007771",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9637026",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lpelland15967@fhsce.catholichealth.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4550 Fauntleroy Way SW",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981263471",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.